VIDA SOLTANISHIRAZI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

VIDA

Last Name

SOLTANISHIRAZI

Business Name

VIDA SOLTANISHIRAZI

Original Issue Date

05/20/2021

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024